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Dr. Octavia N Devon, MD
Urology Physician in Boston, Massachusetts
NPI 1396976205

Octavia N Devon is a Urology Physician based in Burlington, MA. Octavia N Devon practices in Boston, MA and has the professional credentials of MD. The NPI Number for Octavia N Devon is 1396976205 and holds a License No. TRN#14360 (Massachusetts).

The current practice location address for Octavia N Devon is 55 Fruit Street, Boston, MA and can be reached out via phone at 617-726-3010.

Location: 55 Fruit Street, Boston, MA, 01805-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396976205
Provider Name
Octavia N Devon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit Street, Boston, MA, 01805-0001
Phone Number
617-726-3010
Fax Number
Provider Enumeration Date
07/28/2009
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit Street
City
Boston
State
Massachusetts
Zip
02114-2696
Phone Number
617-726-3010
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit Street
City
Boston
State
Massachusetts
Zip
02114-2696
Phone Number
617-726-3010
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
4307 (Wisconsin)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TRN#14360 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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